Unique Plan Description: MFM Droperidol
Plan Selection Display: MFM Droperidol
PlanType: Medical                                 
Version: 1          
Begin Effective Date: 2011-12-13 13:45:26
End Effective Date: 2100-12-31 00:00:00
Last Updated Date: 2021-12-14 09:04:31
Available at all facilities: Yes

IV Therapy Phase
Laboratory
	Basic Metabolic Panel
		T;N, Stat, spec type = Blood
	Urine Ketones POC OB
		T;N
	Basic Metabolic Panel
		T+1;0400, Routine, spec type = Blood
Diagnostic Tests
	ECG
		T;N, Stat, Indication: Medical Therapy
			Comment: 12 lead. Evaluate QT interval.
IV Solutions
		Do not initiate IV Droperidol if QT >450 msec(NOTE)*
	droperidol 25 mg/D5W 500 mL
		500 mL, IV
			Comment: Dose adjustments made q4H based on pt condition.  Call MD for rate change order.  Do not decrease rate below 0.5mg/hr (10ml/hr)
		25 mg, EVERY BAG, 1 mg/h
	Dextrose 5% with 0.45% NaCl
		1,000 mL, IV, 1 Dose(s)/Time(s), 250 ml/hr
			Comment: 250ml/hr for 4 hours then decrease to 150ml/hr
		1,000 mL, IV, T;N+240, 150 ml/hr
Medications
	Benadryl IVPB
		50 mg, INT, IVPB, Q6H
			Comment: Infuse over 30 minutes, start with droperidol
	droperidol IVPB
		2.5 mg, INT, IVPB, Once
			Comment: Infuse over 15 minutes.
Patient Care
	Cardiac Telemetry Monitoring
		T;N
			Comment: Continuously, watch  for QT prolongation
	Notify MD
		T;N, Call MD every 4 hours prior to adjusting Droperidol rate.
	Do not give medication
		T;N, Do not initiate IV Droperidol if QT >450 msec, notify MD

Oral Therapy Phase
Medications
	Benadryl IVPB
		50 mg, INT, IVPB, Once
			Comment: Last dose to be give 30 minutes after droperidol discontinued
	Reglan
		10 mg, Tab, BY MOUTH, Once
			Comment: Give 30 minutes after diphenHYDRAMINE (Benadryl) IVPB. Give with hydrOXYzine (Vistaril)
	Vistaril
		50 mg, Capsule, BY MOUTH, Once
			Comment: Give 30 minutes after diphenHYDRAMINE (Benadryl) IVPB. Give with metoclopramide (Reglan)
	Reglan
		10 mg, Tab, BY MOUTH, QIDACHS
	Vistaril
		50 mg, Capsule, BY MOUTH, QIDACHS
Patient Care
	Discontinue IV
		T;N
			Comment: Droperidol

*Report Legend:
DEF - This order sentence is the default for the selected order
GOAL - This component is a goal
IND - This component is an indicator
INT - This component is an intervention
IVS - This component is an IV Set
NOTE - This component is a note
Rx - This component is a prescription
SUB - This component is a sub phase